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HENRY JAQUEZ
Occupational Therapist
NPI: 1871063909Individual
Specialties, Licenses & Credentials
Occupational TherapistPrimary
Occupational Therapist
Code: 225X00000X
Contact & Hours
- Address
- 614 BURRELL DR
LEWISTON, ID 83501 - Phone
- (208) 792-1808
Quick Facts
- NPI
- 1871063909
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Not confirmed
- Specialties
- 1
- Locations
- 1
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